Provider Demographics
NPI:1780869974
Name:SCUDDER URGENT CARE CENTER INC
Entity type:Organization
Organization Name:SCUDDER URGENT CARE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SCUDDER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:813-425-4796
Mailing Address - Street 1:2901 W BUSCH BLVD
Mailing Address - Street 2:SUITE 403
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618
Mailing Address - Country:US
Mailing Address - Phone:813-425-4796
Mailing Address - Fax:813-315-6561
Practice Address - Street 1:2901 W BUSCH BLVD
Practice Address - Street 2:SUITE 403
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618
Practice Address - Country:US
Practice Address - Phone:813-425-4796
Practice Address - Fax:813-315-6561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care